The use of spinal cord stimulation (SCS) to treat PLS, the most common indication, has surged dramatically with the advent of new technologies that purport to better alleviate axial pain. 1, 2 Each year in the US, approximately 900 000 patients undergo spine surgery, with the incidence of failed back surgery syndrome, also called postlaminectomy syndrome (PLS), being around 19% for laminectomy and 46% for fusion. Low back pain (LBP) is the leading cause of disability worldwide, with point and 1-month prevalence rates of 12% and 23%, respectively. White patients were significantly more likely to be diagnosed with PLS (ie, underwent surgery) (90.4% vs 85.2% difference, 5.2% P < .001) and receive an SCS (93.7% vs 90.3% difference, 3.4% P < .001) than patients of other racial identities.Ĭonclusions and Relevance These findings suggest that under real-life conditions, SCS was associated with small, clinically questionable associations with opioid discontinuation and not starting opioids in the context of PLS. In multivariable analysis, SCS was associated with an increased likelihood of not being on opioids in both opioid-naive (adjusted odds ratio, 0.90 P < .001) and LOT patients (adjusted OR, 0.93 P = .02). In opioid-naive patients, SCS was associated with a small decreased likelihood of patients subsequently receiving LOT (7.6% vs 7.0% difference, −0.6% P = .003). In the 12-month study period, similar proportions in the SCS and no-SCS groups receiving baseline LOT remained on LOT (70.3% vs 69.2%, respectively P = .10). Compared with those who did not receive an SCS, individuals who received an SCS were more likely to be using opioids preimplantation (mean prescriptions: 4.3 vs 4.1 P < .001) but less likely to be using opioids after SCS implantation (mean prescriptions: 3.8 vs 4.0 P = .006). Among those reporting racial identify (37.0% ), 9.3% (18 971 patients) were African American, 0.3% (648 patients) were Asian, and 90.4% (185 139 patients) were White. The median (IQR) patient age was 60 (51-69) years 305 802 patients (55.3%) were female. Results Among 552 937 eligible patients treated between December 2015 and May 2021, 26 179 with PLS received an SCS implant. Opioid-naive patients were defined as those receiving at most 2 opioid prescriptions per year, and patients on LOT were those receiving at least 6 opioid prescriptions per year. Main Outcomes and Measures The main outcome was cessation of opioid use among patients receiving LOT or abstinence from opioids among opioid-naive patients. Statistical analysis was performed from June to December 2021. Patients were stratified according to baseline opioid use (opioid-naive or receiving LOT) and subsequent opioid therapy over the 12-month period ranging from 3 to 15 months post-SCS implantation or post-PLS index date. Objective To determine the association between SCS and long-term opioid therapy (LOT) for PLS.ĭesign, Setting, and Participants In this cohort study, adults with PLS were identified using the TriNetx Diamond Network and separated based on whether they underwent SCS. This has led to an increased emphasis on objective outcome measures such as opioid prescribing. Importance The results of studies evaluating spinal cord stimulation (SCS) for postlaminectomy syndrome (PLS) have yielded mixed results. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Multivariable Analysis With Sensitivity Analyses Showing Factors Associated With New COT in Opioid-Naive Patients (Left Panel) and Persistent COT in Chronic Opioid Users (Right Panel) 3-15 Months After Adjusted Index Date (for Patients Without SCS) or SCS Implant in Diamond Network Breakdown of PLS Cohort by SCS Status, Baseline Opioid Status, and Opioid Use Status at 3-15 Months After Adjusted Index Date (for Patients Without SCS) or SCS Implant in Diamond NetworkĮFigure 4. Multivariable Analysis Showing Factors Associated With Receiving an SCS Implant in PLS PatientsĮFigure 3. Flowchart Illustrating the Inclusion and Exclusion Criteria of Postlaminectomy Syndrome Patients With and Without Spinal SCSĮFigure 2. Propensity Score Matching Analysis With Average Treatment Effect (ATE) Defined by Odds RatiosĮFigure 1. Characteristics of Post-Laminectomy Syndrome Patients in Diamond Network Stratified by SCS StatusĮTable 5. List of ICD-9/10 Codes Used to Calculate Charlson Comorbidity Index ScoreĮTable 4. List of Opioid and Psychotropic Medications Used With RxNorm Codes Included in ParenthesesĮTable 3. A List of ICD and CPT Codes Used to Extract Post-Laminectomy Syndrome Diagnosis, Spine Surgery Procedure, Spinal Cord Stimulation Device, and Other Relevant Clinical DiagnosesĮTable 2.
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At some gambling casinos, the faces of the cards changed daily, while the ‘house rule’ for ranking the card changed three times a week. Interestingly, it was about this time that the ace (symbolising the lowest social class) began to be placed regularly above the king (the nobility), and old designs gave way to new symbols of the French Revolution. Alternatively, the products changed to Napoleon solitaires may have been invented during this extraordinarily fertile and rich period of experimentation and innovation in playing cards. During his brilliant military campaigns in Italy and Austria, thousands of commercial products changed to the brand ‘Napoleon. Perhaps they were older games, renamed for Napoleon by his admirers. Whether Napoleon invented any of the games bearing his name, or even whether or not he played them, no-one really knows. This is the earliest reference to patience as a game, unearthed by the Oxford English Dictionary, though Patience seems to have been such a known game that it needed no further explanation. Indeed the very names of the games in these books are almost all French - La Belle Lucie, Les Quatre Coins, L’Horloge, La Nivernaise, La Loi Salique, Le Carre Napoleon, etc.Īs well, there is a newsletter dated 1816, which reported that Napoleon Bonaparte, in exile at St Helena, kept himself busy playing ‘patience’. However, there are probably much earlier references to solitaire in French literature, since the earliest English books on patience seem to have drawn on French sources. As Tolstoy was very careful about his historical details, this reference is unlikely to be inaccurate, particularly as Tolstoy himself was a passionate devotee of solitaire. The playing of patience is referred to in Tolstoy’s War and Peace, in a scene supposed to have taken place in 1808. But not until the 19th century did anyone bother to record the rules of a solitaire game for posterity. We do know the main rules of a game played at that time, tarocchini or tarok, which is still played in central Europe. Scholars disagree about the ultimate origin of playing cards, but it is generally thought that they were introduced during the 14th century to northern Europe, probably from Italy. But this is really just guesswork, as there are very few historical records concerning solitaire. We can easily imagine how solitaire grew out of the rites of dealing and selecting the cards for fortune telling - divination is the first known use of tarot cards. It is natural to think that solitaire games preceded card games for two or more players. Give it a go - once you’ve tried it it is hard to go back. If you see an open move you can drag the card there or alternatively you can tap (mobile) or double click (PC) and the card and it will move there by itself. Tap to Move: This game features “tap to move”. There is no time limit so you can play at your own pace. For easier gameplay access the game settings and untick “Draw 3”, this will allow you to draw one card at a time. Game options are accessed by pressing the “burger style” options button at the top left of the screen. To deal more cards tap the deck at the top right of the screen. For instance you can put a red two on top of a black three. You can move a card on to another if its number is one lower and it is the opposite color. To help reach this goal you must sort through the cards in the play area. If you find an ace drag it there, then a two, then a three etc. The goal is to arrange each suit of cards from Ace to King in the spaces at the top left of the screen. The Solitaire game you know and love with traditional Klondike rules.
So it helps to have a HUGE list of your family’s favorite meals and dinners that are easy for you to prepare.īefore you work meal planning into your routine, you’ll want to write down ALL of the dinner ideas that you can… Think of it like doing a brain dump for dinners. And nothing is less inspiring than, well, nothing. When you start to meal plan for the week, you’re still stuck looking at a blank page. Step 2: Brainstorm a list of family favorite meals. If you’re going to laminate your meal plan template, then I highly recommend this laminator! I use it ALL the time for different household printables like my kids chore charts and screen time tickets. Print the meal planner template and then laminate it to use with dry erase markers.Print a new sheet on regular printer paper each week, then use a pen or pencil to fill it in.You have a few different options when printing and using the meal plan template. I designed this printable meal planner so that it’s super easy to use and self-explanatory, even for the meal planning newbies! Here’s how to put the cute template to good use: Step 1: Print the free meal plan template and hang on your fridge or add to your planner. *This post contains affiliate links, which means if you click a link and make a purchase I earn a commission at no additional cost to you. Here’s a cute and FREE meal planner printable template for you to use, and tips for putting it into action in your own home! Instead of having to start fresh each day, staring at a stocked fridge and wondering how to combine some of those 52 different ingredients into a dish that your family will love, you can reference your meal planning template for ideas. When you’ve got a big family to feed, and everyone has their own favorites and requests, making dinner can be overwhelming.īut that’s where a good weekly meal planner printable can come in handy! How about tacos? We had that 2 nights ago.īurgers? I’ve had enough red meat this week… See the taco reference above. Constantly coming up with dinner ideas can be difficult, especially if you’re not creative or you get in “ruts” where you make the same 3 meals over and over again. If you ask Moms what their top 5 biggest domestic challenges are, I’d bet that most would say meal planning. Use this weekly meal planner template to help plan your family’s dinners for the week! Grab the free printable meal planner now, plus get tips for how to incorporate the cute printable menu planner into your routine! You should now have that footage file in your Project files. Make sure Footage is selected in the Import As dropdown menu. Navigate to After Effects Track Matte Files and click on Cloud Footage.Hit Command-I (Mac) or Ctrl-I (Windows), which is a hotkey for Importing Files.Let’s add some more files to work with here. You’ll see in the file that there are only three layers: A top text layer, a larger bottom text layer, and a white solid for the background, which is locked to prevent editing. Navigate to After Effects Track Matte Files and open the Track Matte Tutorial.aep file.Here we go! Importing and Layering Footage We’ll also be using the transparency technique to visually insert a video clip into some text and adding a few effects to give the project some oomph. We’re going to use a simple shape to track matte some text as it slides down and “reveals” itself in the composition. You should end up with an After Effects Track Matte folder. After the download has finished, be sure to unzip the file if it hasn’t been done for you.This is particularly useful in revealing graphics, as we’ll see later in this tutorial. If you use a track matte, no matter where you move your layer, the track matte stays in place. What that means for you is that if you put a mask onto a layer, then move the layer, the mask goes with it. Now, you might be asking, why not use a mask? Here’s the main difference: Track mattes are not layer dependent, masks are. Do you want a picture of a flower placed in your text? Or a graphic to hide your video clip until you want it to be revealed? Track mattes are your friend. Simply put, you can shape a particular layer using the appearance of a track matte above it. Track mattes are a fun and powerful tool in After Effects that allows you to use a clip, still image, or text to dictate the transparency of the layer beneath. Enhancing your skills in After Effects, Premiere Pro, and video editing can open up new career opportunities in the field of motion graphics.An understanding of this tutorial can lead to the creation of a variety of new effects by changing the shape of Track Mattes or varying the use of Transparency.The Track Matte tool allows for a whole new range of options for animation projects, enabling easy setup and greater creativity in motion graphics. The tutorial covers how to import and layer footage, create a precomp to organize layers, animate and use a Track Matte, and add effects like Drop Shadow and Gaussian Blur.The transparency technique is used to visually insert a video clip into some text and add a few effects to enhance the project.The tutorial provides a step-by-step guide on how to use the Preserve Transparency tool to insert visuals into other objects, and how to use Track Mattes to hide other objects during animations.Our comprehensive tutorial will guide you on how to insert visuals into objects, hide objects during animations, and create a multitude of cool effects. Precomposing, nesting, and pre-rendering After Effects compositionsĮventually the sunburst switch will be your friend! for example - as you may already know, if you add a layer style to a 3D layer, it breaks the interactivity in 3D space.Enhance your career in motion graphics by mastering the use of tools such as After Effects, video editing, and Premiere Pro. but you should read here under "render order and collapse transformations" and maybe watch a few tutorials about it: with a big nested setup of pre-comps with 3D, Cameras and lights and shadows Vector layers, Layer styles, Blend modes, Track Mattes and more - it really is. maybe the most complicated thing to get wrapped around your head in all of After Effects (that's what I tell my students) and it may seem unpredictable. Cuppatae, Dean - I agree that collapse transformations and render order changes is complicated. i didn't get the time to make some benchmarks, but as i said above it's at the speed of what FFmpeg can do. People asked me to use it so i decide to share this work for everyone. So nothing faster than FFmpeg simply a much usefull usage of this great tool that i made for my self. It's more a research job i did, to get the most of every codecs related to their command.Ībout Handbrake, they shared the same library, if you only use H.264/H.265 conversion use the one you prefer, but Shutter get some usefull codecs especially for editing, and it's also a good toolbox. Using FFmpeg is really powerfull and you get control of everything available, but as you said writing scripts for everything can be very long.Īlso the main advantage from Shutter, it used a lot FFprobe to get all metadata needed for conversion (fps, timecode, fields, audio channels, Apple metadata and everything possible). thanks for posting the main keep me informed and feel free to ask me anything about for a quick explanation :.I can finally get rid of my text files with ffmpeg commands for different conversions. Great program Paul, thank you for sharing. For example: DNxHR HQ is 8-bit, but HQX is 10-bit with the same bitrate/file-size. Sometimes is hard to tell which codec preset is really putting out 10-bit files, so I will suggest using MediaInfo to identify the correct presets if you need 10-bit. But to be fair, most conversion programs behave the same.ĪV1 took the longest by far, and there were glitches in the resulting file (playback with VLC and MPV, glitch happened in the same position). For example: With XAVC the progress bar reached 100% but the elapsed time kept going because the conversion was not done, until a minute+ later. The remaining time and elapsed time are rarely accurate. I was surprised that even H.265 didn't take long on my old system.Ī couple of things: in DNxHD for example, NTSC presets appear to be missing, and only PAL (25, 50fps) are available judging by the the codec specifications Ĥ5, 145, 220, and 220x presets are missing for example (1080p30 and 720p60). I converted an XAVC-S file to a variety of formats: ProRes, DNxHD, DNxHR, XAVC, H.265, AV1, AVC-Intra 100x XDCAM, etc and it all worked perfectly. Then slowly flick your wrist 90 degrees in a downward action to indicate towards the floor. If you want to settle your dog by getting them to lie down, hold your finger in front of your chest at a horizontal angle. Hold your palm open in front of your chest and move you hand in an upwards motion. Sit is probably the most common and important dog command, and this is a good place to start when it comes to training your dog to understand hand signals. To signal this to them and keep their attention, point to your eye with one finger. If you intend to give your dog a series of hand signal commands, you will want them watching you and paying attention. However, training experts have come up with a series of hand signals that are easiest for dogs to interpret and associate with different behaviors. In theory, you can train your dog to associate behavior with any hand signal. This will also prepare them for hearing loss in older age if they are no longer possible to distinguish the sound of your voice. When you aren’t in a competition setting, the best recipe for an obedient dog is to use both voice and hand signals at the same time to give the command. Hand signals obviously only work when your dog is looking at you, while voice commands can be used to get their attention. So, are hand signals the answer to the best possible training for your dog? Maybe. Moreover, when conflicting hand signals and voice commands were given, in 70 percent of cases the dogs responded to the hand signal. Remember that dogs do not understand the words that you use, but they learn to respond to certain sounds, which they must pick out from ambient noise and distinguish from other, similar words.ĭogs are incredibly good at reading body language and distinguishing physical gestures is pretty much second nature to them.Īn Italian study shows that dogs (admittedly very intelligent Labradors and Golden Retrievers that had been professionally trained so don’t necessarily expect the same results from your dog) respond to voice commands with 82 percent accuracy while they respond to hand signals with 99 percent accuracy! Teaching your pooch to respond to your hand commands can be fun and impress family and friends.īut more than this, it can also be easier for dogs to learn hand signals than voice commands. If you want your dog to compete in competitive obedience of sports, responding to hand signals is a requirement!ĭeaf dogs are obviously unable to respond to voice commands, and don’t forget that many dogs lose their hearing as they get older and may struggle to hear your voice commands. Sometimes you want to give your dog commands when it is noisy and they can’t hear you. There are lots of good reasons why you might want to teach your dog to respond to hand signals. Hint: Get your best training treats ready! Why Train Your Dog To Respond To Hand Signals? We will also share some top tips on how to teach your dog to understand these new visual commands. In this article we will go through the benefits of teaching your dog to respond to hand commands, and also show you the 10 most important hand signals that your dog should know. There are a lot of good reasons to teach your dog to respond to hand signals as well as your voice, and in fact, it may even be easier for them to interpret hand signals than the sound of your voice. Once you have convinced your dog to respond to various voice commands, someone comes along and suggests that you should train your pooch to respond to hand signals as well! Why?! Training your dog to respond to commands is a rewarding but often time-consuming process. We may earn money or products from the companies mentioned in this post. You’ll definitely want to see who’s rocking the best ombre colors around, from the runway to real life. And if you’re looking for ombre hair inspiration, we’ve got that covered, too. The trick is to incorporate a restorative strengthening treatment into your hair care routine to help keep your ends and hair in general healthier-looking! Whatever your query, we’re here to answer any questions you might have about ombre hair and to provide with you expert tips to keeping your ombre look salon-perfect. On All Things Hair, you’ll learn more about the basics of this technique as well as its intricacies such as how to pull off reverse ombre hair, how to maintain your ombre hair and what are the best products to use when you have ombre dyed hair. If you want a dramatic color (like, say, purple ombre, blue ombre or green ombre hair), you’ll need to know specific tips to achieve those highlights. We may go on and add that blondes want to be brunettes and dark-hair girls see themselves blondes in their dreams. This color option can be worn by any hair type, but we especially love how a bold blonde color contours with the curves of curly dark brown hair. DecemBrown 50 Ideas for Light Brown Hair with Highlights and Lowlights There is a joke claiming that everything is simple with women: straight hair has to be weaved, curly relaxed, short extended, long cut. If you have warm-toned brown hair, try golden or amber highlights. If it’s subtlety you’re after, natural ombre hair colors might be perfect for you. If you have cool-toned brown hair, opt for blonde highlights with ashy undertones. For instance, you should know more about the different effects you want to achieve. Which coloring idea will you go for? 1.But before you get an ombre dye job, there are a few things to take into play. We have selected the best examples of short colored hair to inspire your new hairstyle. If in doubt, consult a professional colorist or opt for a semi-permanent dye to get a new color with little commitment. The coloring in your skin, lips, and eyes can be lifted by choosing the right hair color. When choosing a suitable shade, consider colors that suit your skin tone, identifying if you have cool or warm undertones. Highlights, babylights, and lowlights also work beautifully, putting the edges in your short haircut into the spotlight. While there might be not enough vertical space for a gradual fade, shadow roots look stunning on short hair. This doesn’t mean pretty hair color is reserved purely for those with long, flowing locks! If you are in a lack of inspiration on how to transform your hair from casual to unique, here. They make every hairstyle more exciting and eye-catching. Especially if you decide to do blonde highlights. However, we can’t deny it looks extraordinary. Blonde hair is considered a bit hard to maintain. A rule of thumb is to match cool undertones with cool colors. Choosing a flattering blonde hair shade, you should remember to pick a hue that will compliment your complexion. Color styles that look best on short hair are not always the same as those for longer hairstyles. 60 Amazing Blonde Highlights Ideas for 2023. This vanilla icy blonde tone is another winner among trendy winter hair colors. Going for a fresh hair color idea is one of the best ways to ramp up your style. Be sure to select a shade of red that complements your skin tone and eye color for the best results. Red highlights will add brightness and dimension to your curls and make them stand out from the crowd. What Hair Color Looks Best on Short Hair? If you want to draw attention to your curly hair, consider highlights in a bright, bold color like red. In this article, we will show you what colors work best on short hair and inspire you with a selection of the best coloring ideas to give your cropped locks the hottest look in 2024 and beyond. But with so many short hair color ideas out there, where do you start? An amazing chop can be made even more striking by giving your hair a color makeover. A sexy short hairdo is a perfect way to achieve a flattering modern look.
Costing features are comparable: labour, hourly rate, material usage, and fixed costs: these are all provided. The columns (fields) look the same as for Microsoft Project. Resource breakdown structure (RBS) chartĬompared to Microsoft Project, which it closely emulates, ProjectLibre has a similar user interface (UI) including a ribbon-style menu, and a similar approach to construction of a project plan: create an indented task list or work breakdown structure (WBS), set durations, create links (either by (a) mouse drag, (b) selection and then button-down, or (c) manually type in the "predecessor" column), assign resources.OpenOffice and LibreOffice compatibility.It will be a SaaS solution on a subscription. The team is looking in Winter 2022 to release a Cloud/SaaS version, which will extend the desktop features with team and enterprise features. The initial release of ProjectLibre occurred in August 2012. The beta test timing has not been announced. It will be similar to Google Docs compared to Microsoft Word. ProjectLibre Cloud will be a multi-user, multi-project version in the browser. ProjectLibre Cloud is a web-based project management application. SourceForge staff selected ProjectLibre ProjectLibre as the January 2016 "Staff Pick" Project of the Month. ProjectLibre's initial release was in August 2012. It is released under the Common Public Attribution License (CPAL) and qualifies as free software according to the Free Software Foundation. Currently, ProjectLibre is certified to run on Linux, MacOS, and Microsoft Windows. ProjectLibre is written in the Java programming language, and will thus theoretically run on any machine for which a fully functioning Java virtual machine (JVM) exists. The price point is the main reason why we went with Project Libre. The user interface of the software is very dated, it is very clear the software is written for function and not for aesthetics. In addition to language, the country can be chosen which also sets the project currency and date format. It can basically do everything MS Project can do at the price point of 0. The 1.9.3 release allows project managers to select the language in a drop down list. ProjectLibre has been translated into 29 languages and has users on all 7 continents. The latest release of ProjectLibre was released with extensive update for global users. ProjectLibre has been downloaded 6,000,000 times in 197 countries on all 7 continents and translated into 29 languages ProjectLibre desktop is a free and open-source project management software system intended ultimately as a standalone replacement for Microsoft Project. ProjectLibre is a project management software company with both a free open-source desktop and an upcoming Cloud version. net /projects /projectlibre /Ģ9 languages including Arabic, Chinese (simplified), Chinese (Traditional), Czech, Danish, Dutch, English, Finnish, French, Galician, German, Hindi, Italian, Japanese, Korean, Persian, Polish, Portuguese, Portuguese (Brazilian), Russian, Slovak, Spanish, Swedish, Tamil, Thai, Turkish, Ukrainian, Urdu, Vietnamese and others |
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